Lessons Learned From Implementing Health Coaching in The Heart Healthy Lenoir Hypertension Study.

Journal Article (Journal Article)

BACKGROUND: Health coaching is increasingly important in patient-centered medical homes. OBJECTIVES: Describe formative evaluation results and lessons learned from implementing health coaching to improve hypertension self-management in rural primary care. METHODS: A hypertension collaborative was formed consisting of six primary care sites. Twelve monthly health coaching phone calls were attempted for 487 participants with hypertension. LESSONS LEARNED: Participant engagement was challenging; 58% remained engaged, missing fewer than three consecutive calls. Multivariate analyses revealed that older age (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.01-1.05), African American race (O,R 1.73; 95% CI, 1.15-2.60), greater number of comorbidities (OR, 1.17; 95% CI, 1.05-1.30) and receiving coaching closer to enrollment (OR, 5.03; 95% CI, 2.53-9.99) were correlated independently with engagement. Participants reported the coaching valuable; 96% would recommend health coaching to others. CONCLUSIONS: Health coaching in hypertension care can be successful strategy for engaging more vulnerable groups. A more tailored approach may improve engagement with counseling.

Full Text

Duke Authors

Cited Authors

  • Donahue, KE; Tillman, J; Halladay, JR; Cené, CW; Hinderliter, A; Cummings, DM; Miller, C; Gizlice, Z; Garcia, BA; Wu, J-R; Quenum, E; Bosworth, HB; Keyserling, TC; DeWalt, D

Published Date

  • 2016

Published In

Volume / Issue

  • 10 / 4

Start / End Page

  • 559 - 567

PubMed ID

  • 28569681

International Standard Serial Number (ISSN)

  • 1557-0541

Digital Object Identifier (DOI)

  • 10.1353/cpr.2016.0064


  • eng

Conference Location

  • United States